| Severe exfoliative erythema of malnutrition in a child with coexisting coeliac and Hartnup's disease. | |
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MedLine Citation:
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PMID: 19018792 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Exfoliative erythema of malnutrition is a collective term for skin lesions caused by a combination of multiple deficiencies in vitamins, microelements, essential fatty acids and amino acids. We report a 3-year-old Iraqi girl with malnutrition due to coexisting coeliac and Hartnup's disease. On admission to hospital, she presented with kwashiorkor, anaemia, hepatitis and hypoalbuminia. She had severe skin changes with erythema, desquamation, erosions and diffuse hyperpigmentation involving the whole integument, particularly the perioral area, trunk and legs. She also had angular cheilitis, glossitis, conjunctivitis and diffuse alopecia. After treatment with a high-protein gluten-free diet and supplementation with vitamins and microelements there was a rapid improvement in the skin lesions. The severity of the skin lesions in this case can be explained by the coexistence of two metabolic diseases causing complex malnutrition. |
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Authors:
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C S Sander; J Hertecant; Y M Abdulrazzaq; T G Berger |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-11-06 |
Journal Detail:
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Title: Clinical and experimental dermatology Volume: 34 ISSN: 1365-2230 ISO Abbreviation: Clin. Exp. Dermatol. Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-02-03 Completed Date: 2009-04-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7606847 Medline TA: Clin Exp Dermatol Country: England |
Other Details:
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Languages: eng Pagination: 178-82 Citation Subset: IM |
Affiliation:
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Department of Dermatology, Tawam Hospital in affiliation with Johns Hopkins Medicine, Al Ain, UAE. csander@tawam-hosp.gov.ae |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Alopecia
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complications Celiac Disease* / complications, diet therapy, pathology Child Nutrition Disorders* / complications, diet therapy Child, Preschool Diet, Gluten-Free Erythema* / diet therapy, etiology, pathology Female Glossitis / complications Glutens / adverse effects* Hartnup Disease* / complications, diet therapy, pathology Humans Parents / education Skin / pathology Treatment Outcome Vitamins / administration & dosage |
| Chemical | |
Reg. No./Substance:
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0/Vitamins; 8002-80-0/Glutens |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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